BACKGROUND Endodontic-periodontal lesion is a commonly encountered dental condition.However,the prognosis of the condition varies from good to poor.Some cases are associated with a poor prognosis that requires tooth e...BACKGROUND Endodontic-periodontal lesion is a commonly encountered dental condition.However,the prognosis of the condition varies from good to poor.Some cases are associated with a poor prognosis that requires tooth extraction.This report presents a case of an endodontic-periodontal lesion in a tooth that was successfully treated by root canal treatment.CASE SUMMARY A 51-year-old female patient with no medical history complained about persistent pain and discomfort in her left mandibular first molar.Clinical examination showed the left mandibular first molar with poor restoration.It was also associated with underlying necrotic pulp and periodontal involvement.Radiographic examination revealed visible bone defects in the apical and periodontal areas.Based on the findings,the patient was diagnosed with a primary endodontic lesion.A root canal treatment for the endodontic lesion was performed.The patient received a coronal all-ceramic endocrown restoration.A follow-up was arranged to check the prognosis.At the 3 mo follow-up,the clinical and radiography evaluations showed complete disappearance of signs and symptoms and an increase in the radiopacity of the root area.CONCLUSION Despite the poor prognosis associated with many endodontic lesions,this case report highlights that a good prognosis is still possible for an endodontic lesion with apical and periodontal bone loss.In this case,it was achieved via successful root canal treatment without the need for periodontal or surgical intervention.展开更多
探讨i Root BP Plus根管倒充填联合PRF(platelet-rich fibrin)治疗慢性根尖周病变(chronic periapical lesions,CPL)的临床效果。选取佳木斯市中心医院2020年1月—2022年1月收治的82例CPL患者作为研究对象,依据随机数字表法将其分为观察...探讨i Root BP Plus根管倒充填联合PRF(platelet-rich fibrin)治疗慢性根尖周病变(chronic periapical lesions,CPL)的临床效果。选取佳木斯市中心医院2020年1月—2022年1月收治的82例CPL患者作为研究对象,依据随机数字表法将其分为观察组(n=41,应用i Root BP Plus根管倒充填联合PRF治疗)和对照组(n=41,应用i Root BP Plus根管倒充填治疗),比较两组临床疗效、骨密度、牙周状态、龈沟液炎症因子水平、疼痛情况。结果显示,治疗后,观察组临床治疗总有效率、骨密度高于对照组(P<0.05);治疗后,观察组PD、PBI、TM、PI、CAL、hs-CRP、TNF-α、IL-1β以及总疼痛率低于对照组(P<0.05)。研究发现,i Root BP Plus根管倒充填联合PRF能够优化CPL的治疗效果,改善患者的临床症状,提高患者的骨密度,值得临床推广。展开更多
基金Jilin Provincial Science and technology Education Department Plan,No.JJKH20190092KJ。
文摘BACKGROUND Endodontic-periodontal lesion is a commonly encountered dental condition.However,the prognosis of the condition varies from good to poor.Some cases are associated with a poor prognosis that requires tooth extraction.This report presents a case of an endodontic-periodontal lesion in a tooth that was successfully treated by root canal treatment.CASE SUMMARY A 51-year-old female patient with no medical history complained about persistent pain and discomfort in her left mandibular first molar.Clinical examination showed the left mandibular first molar with poor restoration.It was also associated with underlying necrotic pulp and periodontal involvement.Radiographic examination revealed visible bone defects in the apical and periodontal areas.Based on the findings,the patient was diagnosed with a primary endodontic lesion.A root canal treatment for the endodontic lesion was performed.The patient received a coronal all-ceramic endocrown restoration.A follow-up was arranged to check the prognosis.At the 3 mo follow-up,the clinical and radiography evaluations showed complete disappearance of signs and symptoms and an increase in the radiopacity of the root area.CONCLUSION Despite the poor prognosis associated with many endodontic lesions,this case report highlights that a good prognosis is still possible for an endodontic lesion with apical and periodontal bone loss.In this case,it was achieved via successful root canal treatment without the need for periodontal or surgical intervention.
文摘探讨i Root BP Plus根管倒充填联合PRF(platelet-rich fibrin)治疗慢性根尖周病变(chronic periapical lesions,CPL)的临床效果。选取佳木斯市中心医院2020年1月—2022年1月收治的82例CPL患者作为研究对象,依据随机数字表法将其分为观察组(n=41,应用i Root BP Plus根管倒充填联合PRF治疗)和对照组(n=41,应用i Root BP Plus根管倒充填治疗),比较两组临床疗效、骨密度、牙周状态、龈沟液炎症因子水平、疼痛情况。结果显示,治疗后,观察组临床治疗总有效率、骨密度高于对照组(P<0.05);治疗后,观察组PD、PBI、TM、PI、CAL、hs-CRP、TNF-α、IL-1β以及总疼痛率低于对照组(P<0.05)。研究发现,i Root BP Plus根管倒充填联合PRF能够优化CPL的治疗效果,改善患者的临床症状,提高患者的骨密度,值得临床推广。